# THERAPY SOUTH LIBERTY PARK LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730481029
- **Authorized official:** STEPHEN FOSTER (PRESIDENT)
- **Authorized official phone:** (205) 745-3660

## Contact information

- **Practice address:** 3800 RIVER RUN DR, SUITE 102, BIRMINGHAM, AL 35243-4701
- **Practice address phone:** (205) 970-2350
- **Practice address fax:** (205) 970-2165
- **Mailing address:** 2823 GREYSTONE COMMERCIAL BLVD, BIRMINGHAM, AL 35242-2660
- **Mailing address phone:** (205) 745-3660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 11/19/2010
- **Last updated:** 05/23/2019
